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IRCT20200301046657N1 IRCT 2020-04-29 Iran University of Medical Sciences Comparison of the effects of functional electrical stimulation in multiple sclerosis Comparison of the effects of functional electrical stimulation with and without ankle foot orthosis on balance and walking ability in multiple sclerosis using BESTest 2020-03-15 anticipated 28 Complete https://irct.ir/trial/46640 interventional Randomization: N/A, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive. N/A Patients involved with multiple sclerosis with drop foot. Intervention 1: Intervention group: To help clear the foot we stimulate the peroneal nerve involved in MS disease by electrical stimulation system. This nerve is essential for producing dorsiflexion during the swing phase. The peroneal nerve can also initiate reflex synergistic-based flexion, thereby enhancing hip and knee flexion during the swing gate phase. An electrical stimulation system is a system that uses short pulses and electrical bursts to generate muscle contraction. If these electrical pulses are applied to the motor nerves, it can cause action potentials that extend along the axon to the target muscle, and when this action potential reaches the target muscle, the muscle contracts. Intervention 2: Intervention group: Patients with MS with ankle sprains use orthoses such as the foot-orthosis (AFO), which is used to prevent patients from colliding with the ground during the swinging walk. The orthosis is made of hard plastic and extends from the joint between the bones of the foot and toes to the top of the leg. Ankle-foot orthosis alone is used for people with good leg muscles to move in an upright position. When the patient has dorsiflexion, the orthosis prevents the fingers from touching the ground. If the patient has sufficient knee strength, an adjustable wrist joint may be used in the orthosis, which allows for dorsiflexion and enhances the ease of functional activity.Acceptance of ankle-foot orthosis in these patients is very poor. Weight, appearance or lack of response to patients' needs are the reasons for not using this orthosis. Yes - There is a plan to make this available What will be shared: All data can be shared after unidentifiable people When: Starting one year after article publication To whom: Information is available to all researchers working in academic and scientific institutions Conditions: Use of data is only possible by mentioning the name and organizational affiliation of the correspond and co-author of the project and the published article Where to obtain: connect to Dr Alireza Khaghani by email: Khaghaniali@yahoo.com How to obtain: If information is used ib scintific and therapeutic activities, information is provided as soon as possible. Comments:
public علیرضا خاقانی
Faculty of Rehabilitation Sciences., Maddekaran St., Shah Nazari St., Mirdamad, Mother Square
Tehran Iran (Islamic Republic of) 13487- 15459 22222059 khaghani.a@iums.ac.ir Iran University of Medical Sciences scientific Alireza Khaghani
Faculty of Rehabilitation Sciences., Maddekaran St., Shah Nazari St., Mirdamad, Mother Square
Tehran Iran (Islamic Republic of) 13478 -15495 22227124 khaghani.a@iums.ac.ir Iran University of Medical Sciences Iran (Islamic Republic of) People with MS scores below five on the EDSS index Patients with multiple sclerosis who have drop foot at least three months People with walking ability without use of assistive devices Ability to walk and stand for at least three minutes Experience using ankle-foot orthoses or functional electrical stimulation, or both Patient satisfaction to participate in the study Ability to read and write in Farsi 20 years 45 years Both History of surgery and fractures in the lower extremities History of lower extremity trauma Inappropriate postures such as kyphosis and scoliosis Infection and inflammation of the skin in the calf region The progression of MS is so debilitating for the individual Dryness and immobility of the ankle joint Contraction in the calf muscles Short back muscles and tendons in the calf Severe lower limb muscle spasms that affect ankle joint movements Any abnormalities and deformities in the joints and bones of the foot and ankle People who need help moving from others or using assistive devices Rehabilitation Rehabilitation Intervention group: To help clear the foot we stimulate the peroneal nerve involved in MS disease by electrical stimulation system. This nerve is essential for producing dorsiflexion during the swing phase. The peroneal nerve can also initiate reflex synergistic-based flexion, thereby enhancing hip and knee flexion during the swing gate phase. An electrical stimulation system is a system that uses short pulses and electrical bursts to generate muscle contraction. If these electrical pulses are applied to the motor nerves, it can cause action potentials that extend along the axon to the target muscle, and when this action potential reaches the target muscle, the muscle contracts Intervention group: Patients with MS with ankle sprains use orthoses such as the foot-orthosis (AFO), which is used to prevent patients from colliding with the ground during the swinging walk. The orthosis is made of hard plastic and extends from the joint between the bones of the foot and toes to the top of the leg. Ankle-foot orthosis alone is used for people with good leg muscles to move in an upright position. When the patient has dorsiflexion, the orthosis prevents the fingers from touching the ground. If the patient has sufficient knee strength, an adjustable wrist joint may be used in the orthosis, which allows for dorsiflexion and enhances the ease of functional activity.Acceptance of ankle-foot orthosis in these patients is very poor. Weight, appearance or lack of response to patients' needs are the reasons for not using this orthosis. The effect of functional electrical stimulation on balance in patients with MS with ankle deprivation. Timepoint: Immediate examination before and after wearing orthoses. Method of measurement: Using tests of BESTest. The effect of using ankle-foot orthosis equipped with functional electrical stimulation on balance in patients with MS. Timepoint: Immediate examination before and after wearing orthoses. Method of measurement: Using tests of BESTest. The effect of functional electrical stimulation on walking ability in patients with MS. Timepoint: Immediate examination before and after wearing orthoses. Method of measurement: Using tests of BESTest. The effect of using ankle-foot orthoses equipped with functional electrical stimulation on walking ability in people with MS. Timepoint: Immediate examination before and after wearing orthoses. Method of measurement: Using tests of BESTest. Iran University of Medical Sciences Approved 2020-03-14 Ethics Committee of Iran University of Medical Sciences Hemat Highway next to Milad Tower, Iran University of Medical sciences Tehran Tehran Iran (Islamic Republic of)